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That the address of its new registered office and the address of its new registered agent are identical. Further, the changes designated on this form were authorized by resolution duly adopted by its board of directors or members. By Title (Signature of Officer) (Type) Date: NOTE - This form must be executed by the chairman of the board, the president, or the vice president of the corporation. FEES: Change of Agent Name-$25.00 Change of Agent Address-$25.00 Change of Both-$25.00 MAIL TO: N.

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